Individual
DOMINIQUE TISHOMBRA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 MONTICELLO DR, KINSTON, NC 28504-8485
(252) 268-6322
Mailing address
3002 MONTICELLO DR, KINSTON, NC 28504-8485
(252) 268-6322
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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